ED attendance following MenB vaccination

In September  2015, the UK introduced the 4Conjugate Meningococcal B vaccine to the routine immunisation schedule, to be given at 2 and 4 months of age. Those of us who’ve witnessed the devastating effects of meningococcal sepsis welcomed this warmly. There was however a small catch. It was recognised that one of the effects of…

The 9th Bubble Wrap

With millions upon millions of journal articles being published every year it is impossible to keep up.  Every month we ask some of our friends from PERUKI (Paediatric Emergency Research in UK and Ireland) to point out something that has caught their eye.

QTc

When I started my training, if you had asked me what the QTc was, I would probably have told you it was one of those funny shopping channels on cable TV. Then cisapride came along (Google it, kids) and changed all that. Nowadays every colleague who asks me to review an ECG tells me the…

Incomplete Kawasaki Disease

  A four year old Japanese male was brought into Emergency with 5 days of fevers, non-exudative bilaterally injected sclerae, erythematous pharynx and irritability. Wondering about the possibility of Kawasaki Disease, I turned to check the 2017 update of the American Heart Association Scientific Statement, focusing on considering a diagnosis of Incomplete Kawasaki Disease.  …